SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC (NPI# 1811174899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811174899 |
Entity Type | Organization |
Organization Name | SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC |
Practice Address |
601 John St Emergency Department Kalamazoo MI 49007-5341 |
Mailing Address |
Reliable Pkwy Chicago IL 60686-0001 |
Practice Telephone | 2693433900 |
Mailing Telephone | 8868987139 |
Enumeration Date | 2008-01-22 |
Last Update Date | 2008-05-22 |
Authorized Official Name | MR. JAMES DEMOSS (PRESIDENT) |
Authorized Official Telephone | 2693433900 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033396023 | Southwestern Michigan Emergency Services, PC | Emergency Medicine | 408 Hazen St, Emergency Department, Paw Paw, MI 49079-1019 | 2008-01-22 |
1013021310 | Southwestern Michigan Emergency Services, PC | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-08-17 |
Street Address |
601 JOHN ST EMERGENCY DEPARTMENT |
City | KALAMAZOO |
State | MI |
Zip Code | 49007-5341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134122757 | Joan K. Slager | Advanced Practice Midwife | 601 John St, Ste N-1200, Kalamazoo, MI 49007-5341 | 2005-05-27 |
1841898780 | Alexandra Marie Christmas | Physician Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-13 |
1003423237 | Ochuko Andrew Oghor | Student in an Organized Health Care Education/Training Program | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-01 |
1710591680 | Marshe Suderman | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-09-08 |
1609485481 | Kristy Lynn Mumby | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-07-28 |
1407475700 | Bethany Hodges | Dietitian, Registered | 601 John St, Kalamazoo, MI 49007-5341 | 2020-04-16 |
1760031157 | Michael Nestorak | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-09 |
1639728272 | James Michael Curtis | Pharmacist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-06 |
1538716451 | Sheri Jones | Physical Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-26 |
1790332658 | Jill Marie Woodhams | Occupational Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
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Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760031157 | Michael Nestorak | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-09 |
1609350586 | Autumn Rose Miller | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2018-09-18 |
1780167957 | Brett D Birch | Emergency Medicine | 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 | 2018-09-12 |
1063994424 | Katelyn Elizabeth Amos | Emergency Medicine | 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 | 2018-09-02 |
1366897670 | Kalamazoo Acute Care Specialists Plc | Emergency Medicine | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2016-04-25 |
1457465734 | Charles Leroy Zeller Jr. | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-08-17 |
1013021310 | Southwestern Michigan Emergency Services, PC | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-08-17 |
1780618496 | Scott D. Larson | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-07-10 |
1699704551 | Wesley L. Rigot | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-07-02 |
1578591483 | Mary P. Wilkins | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-06-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.